NPI Code Details Logo

NPI 1598310427

NPI 1598310427 : ADVANCED BILLING SOLUTIONS LLC : MESQUITE, TX

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1598310427
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    ADVANCED BILLING SOLUTIONS LLC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    08/07/2019
-----------------------------------------------------
    Last Update Date     |    03/08/2021
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    4825 KINGFISHER LN 
-----------------------------------------------------
    City                 |    MESQUITE
-----------------------------------------------------
    State                |    TX
-----------------------------------------------------
    Zip                  |    75181-4908
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    903-258-4371
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    4825 KINGFISHER LN 
-----------------------------------------------------
    City                 |    MESQUITE
-----------------------------------------------------
    State                |    TX
-----------------------------------------------------
    Zip                  |    75181-4908
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    OWNER
-----------------------------------------------------
    Name                 |     TOMORA  DUNCAN 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    214-674-4801
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    305S00000X
-----------------------------------------------------
    Taxonomy Name        |    Point of Service
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    332U00000X
-----------------------------------------------------
    Taxonomy Name        |    Home Delivered Meals
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
    Taxonomy Code        |    343900000X
-----------------------------------------------------
    Taxonomy Name        |    Non-emergency Medical Transport (VAN)
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #4
-----------------------------------------------------
    Taxonomy Code        |    251B00000X
-----------------------------------------------------
    Taxonomy Name        |    Case Management Agency
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.